| Autor: |
Daniel M. Heiferman, Georgios Tsivgoulis, Savdeep Singh, Diana Alsbrook, Ghaida Zaid, Leila Gachechiladze, Balaji Krishnaiah, Violiza Inoa‐Acosta, Nickalus Khan, Christopher M. Nickele, Daniel A. Hoit, Andrei V. Alexandrov, Lucas Elijovich, Adam S. Arthur, Nitin Goyal |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Stroke: Vascular and Interventional Neurology, Vol 2, Iss 5 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2694-5746 |
| DOI: |
10.1161/SVIN.121.000252 |
| Popis: |
Background Mechanical thrombectomy (MT) has been shown to improve functional outcome in patients with anterior circulation strokes and emergent large‐vessel occlusion (ELVO). Despite successful recanalization, some of these patients require decompressive hemicraniectomy (DHC). We aimed to study the predictors of DHC in successfully recanalized anterior circulation ELVO patients. Methods Consecutive patients with anterior circulation ELVO treated with MT during a 6‐year period were evaluated. Only successfully recanalized patients (modified Thrombolysis in Cerebral Infarction grades 2b, 2c, or 3) after MT were included in the analysis. Baseline demographic, clinical, and procedural variables were compared between patients requiring DHC after successful recanalization versus those who did not. Results Of 453 successfully recanalized patients with ELVO, 47 who underwent DHC had higher admission blood glucose levels (170±88 versus 142±66 mg/dL; P=0.008), lower median Alberta Stroke Program Early CT Scores (9 [interquartile range, 8–10] versus 10 [interquartile range, 9–10]; P=0.002), higher prevalence of poor collaterals on pretreatment computed tomography angiogram (75% versus 26%; P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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